Name: | KENTUCKY RIVER COMMUNITY CARE, INC. |
Legal type: | Kentucky Corporation |
Status: | Active |
Standing: | Good |
Profit or Non-Profit: | Non-profit |
File Date: | 23 May 1979 (46 years ago) |
Organization Date: | 23 May 1979 (46 years ago) |
Last Annual Report: | 26 Jun 2024 (9 months ago) |
Organization Number: | 0118111 |
Industry: | Health Services |
Number of Employees: | Large (100+) |
ZIP code: | 41339 |
City: | Jackson, Altro, Athol, Canoe, Decoy, Elkatawa, Fr... |
Primary County: | Breathitt County |
Principal Office: | 178 COMMUNITY WAY, P.O. BOX 794, JACKSON, KY 41339 |
Place of Formation: | KENTUCKY |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HEALTH INSURANCE PLAN | 2011 | 310965230 | 2012-07-26 | KENTUCKY RIVER COMMUNITY CARE | 440 | |||||||||||||||||||||||||||||||||||||||||
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Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | PO BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 0 |
Signature of
Role | Plan administrator |
Date | 2012-07-26 |
Name of individual signing | MIKE KADISH |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 508 |
Effective date of plan | 2011-01-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | PO BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | PO BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 509 |
Signature of
Role | Plan administrator |
Date | 2012-01-31 |
Name of individual signing | MIKE KADISH |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 505 |
Effective date of plan | 2008-05-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | P. O. BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | P. O. BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 508 |
Signature of
Role | Plan administrator |
Date | 2011-03-31 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 504 |
Effective date of plan | 2007-01-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | PO BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | PO BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 440 |
Signature of
Role | Plan administrator |
Date | 2011-03-31 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 506 |
Effective date of plan | 2010-01-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | PO BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | PO BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 440 |
Signature of
Role | Plan administrator |
Date | 2011-03-31 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 505 |
Effective date of plan | 2008-05-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | P. O. BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | P. O. BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 508 |
Signature of
Role | Plan administrator |
Date | 2011-01-25 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 504 |
Effective date of plan | 2007-01-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | P O BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | P O BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 440 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2011-01-25 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 505 |
Effective date of plan | 2008-05-01 |
Business code | 621420 |
Sponsor’s telephone number | 6066669006 |
Plan sponsor’s mailing address | P O BOX 794, JACKSON, KY, 41339 |
Plan sponsor’s address | 178 COMMUNITY WAY, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN | 310965230 |
Plan administrator’s name | KENTUCKY RIVER COMMUNITY CARE, INC. |
Plan administrator’s address | P O BOX 794, JACKSON, KY, 41339 |
Administrator’s telephone number | 6066669006 |
Number of participants as of the end of the plan year
Active participants | 470 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Signature of
Role | Plan administrator |
Date | 2010-06-28 |
Name of individual signing | LOUISE HOWELL |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role |
---|---|
SANDY HOLBROOK | Registered Agent |
Name | Role |
---|---|
Jerry Harris | Vice President |
Name | Role |
---|---|
Sandy Holbrook | President |
Name | Role |
---|---|
Brenda Turner | Secretary |
Name | Role |
---|---|
Scott Cornett | Director |
Keisha Hunt-Eary | Director |
Keith Pray | Director |
JOYCE TERRY | Director |
JIM GERGMAN | Director |
DAPHNE NORTHERN | Director |
FREDDIE LEWIS | Director |
MALCOLM KILDUFF | Director |
Name | Role |
---|---|
C. VERNON COOPER, JR. | Incorporator |
Name | Status | Expiration Date |
---|---|---|
VENTURE HEALTH | Inactive | 2021-06-29 |
Name | File Date |
---|---|
Annual Report | 2024-06-26 |
Annual Report | 2023-06-02 |
Annual Report | 2022-06-09 |
Annual Report | 2021-06-15 |
Annual Report | 2020-06-04 |
Annual Report | 2019-06-12 |
Annual Report | 2018-06-05 |
Registered Agent name/address change | 2017-12-19 |
Annual Report Amendment | 2017-12-19 |
Annual Report | 2017-06-22 |
FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
223102 | Department of Agriculture | 10.780 - COMMUNITY FACILITIES LOANS AND GRANTS | 2010-09-30 | 2010-09-30 | COMMUNITY FACILITIES LOANS AND GRANTS - ARRA | |||||||||||||||||||||
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223012 | Department of Agriculture | 10.780 - COMMUNITY FACILITIES LOANS AND GRANTS | 2010-09-30 | 2010-09-30 | COMMUNITY FACILITIES LOANS AND GRANTS - ARRA | |||||||||||||||||||||
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Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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123811226 | 0452110 | 1994-04-12 | 3375 KY HWY 155, JACKSON, KY, 41339 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Type | Complaint |
Activity Nr | 73109472 |
Health | Yes |
Violation Items
Citation ID | 01001 |
Citaton Type | Serious |
Standard Cited | 19101030 F02 I |
Issuance Date | 1994-08-16 |
Abatement Due Date | 1994-09-02 |
Current Penalty | 2750.0 |
Initial Penalty | 2750.0 |
Nr Instances | 1 |
Nr Exposed | 47 |
Related Event Code (REC) | Complaint |
Gravity | 10 |
Citation ID | 01002 |
Citaton Type | Serious |
Standard Cited | 19101030 G02 I |
Issuance Date | 1994-08-16 |
Abatement Due Date | 1994-09-02 |
Current Penalty | 2750.0 |
Initial Penalty | 2750.0 |
Nr Instances | 2 |
Nr Exposed | 45 |
Related Event Code (REC) | Complaint |
Gravity | 10 |
Citation ID | 01003 |
Citaton Type | Serious |
Standard Cited | 19101200 E01 |
Issuance Date | 1994-08-16 |
Abatement Due Date | 1994-09-23 |
Current Penalty | 825.0 |
Initial Penalty | 825.0 |
Nr Instances | 1 |
Nr Exposed | 47 |
Related Event Code (REC) | Complaint |
Gravity | 01 |
Citation ID | 01004 |
Citaton Type | Serious |
Standard Cited | 19101200 H |
Issuance Date | 1994-08-16 |
Abatement Due Date | 1994-09-23 |
Current Penalty | 825.0 |
Initial Penalty | 825.0 |
Nr Instances | 1 |
Nr Exposed | 45 |
Gravity | 01 |
Citation ID | 02001 |
Citaton Type | Other |
Standard Cited | 203100102 |
Issuance Date | 1994-08-16 |
Abatement Due Date | 1994-09-23 |
Nr Instances | 1 |
Nr Exposed | 20 |
Gravity | 01 |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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31-0965230 | Association | Unconditional Exemption | 115 ROCKWOOD LN, HAZARD, KY, 41701-9415 | 1979-09 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Description | Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions. |
On Publication 78 Data List | Yes |
Deductibility | Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions) |
Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 202206 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 202106 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 202006 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 201906 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 201806 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 201706 |
Filing Type | E |
Return Type | 990 |
File | View File |
Organization Name | KENTUCKY RIVER COMMUNITY CARE INC |
EIN | 31-0965230 |
Tax Period | 201606 |
Filing Type | E |
Return Type | 990 |
File | View File |
USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1194052 | Intrastate Non-Hazmat | 2023-02-14 | 250000 | 2022 | 18 | 63 | Priv. Pass.(Non-business) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Total Number of Inspections for the measurement period (24 months) | 2 |
Driver Fitness BASIC Serious Violation Indicator | No |
Vehicle Maintenance BASIC Acute/Critical Indicator | No |
Unsafe Driving BASIC Acute/Critical Indicator | No |
Driver Fitness BASIC Roadside Performance measure value | 0 |
Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
Total Number of Driver Inspections for the measurment period | 2 |
Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
Total Number of Vehicle Inspections for the measurement period | 2 |
Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
Number of inspections with at least one Driver Fitness BASIC violation | 0 |
Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Inspections
Unique report number of the inspection | CV42865568 |
State abbreviation that indicates the state the inspector is from | KY |
The date of the inspection | 2024-10-02 |
ID that indicates the level of inspection | Full |
State abbreviation that indicates where the inspection occurred | KY |
Time weight of the inspection | 3 |
Number of Out-Of-Service violations related to Driver | 0 |
Number of Out-Of-Service violations related to vehicle | 0 |
Number of violations related to Hazardous Materials | 0 |
Total number of Out-Of-Service violations | 0 |
Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
Description of the type of the main unit | STRAIGHT TRUCK |
Description of the make of the main unit | FORD |
License plate of the main unit | 730707 |
License state of the main unit | KY |
Vehicle Identification Number of the main unit | 1FDWF37P07EA20402 |
Unsafe Driving BASIC inspection | Y |
Hours-of-Service Compliance BASIC inspection | Y |
Driver Fitness BASIC inspection | Y |
Controlled Substances/Alcohol BASIC inspection | Y |
Vehicle Maintenance BASIC inspection | Y |
Total number of BASIC violations | 0 |
Number of Unsafe Driving BASIC violations | 0 |
Number of Hours-of-Service Compliance BASIC violations | 0 |
Number of Driver Fitness BASIC violations | 0 |
Number of Controlled Substances/Alcohol BASIC violations | 0 |
Number of Vehicle Maintenance BASIC violations | 0 |
Number of Hazardous Materials Compliance BASIC violations | 0 |
Unique report number of the inspection | CV42864281 |
State abbreviation that indicates the state the inspector is from | KY |
The date of the inspection | 2023-09-27 |
ID that indicates the level of inspection | Full |
State abbreviation that indicates where the inspection occurred | KY |
Time weight of the inspection | 1 |
Number of Out-Of-Service violations related to Driver | 0 |
Number of Out-Of-Service violations related to vehicle | 0 |
Number of violations related to Hazardous Materials | 0 |
Total number of Out-Of-Service violations | 0 |
Total number of Out-Of-Service violations related to Hazardous Materials | 0 |
Description of the type of the main unit | STRAIGHT TRUCK |
Description of the make of the main unit | FORD |
License plate of the main unit | 730707 |
License state of the main unit | KY |
Vehicle Identification Number of the main unit | 1FDWF37P07EA20402 |
Unsafe Driving BASIC inspection | Y |
Hours-of-Service Compliance BASIC inspection | Y |
Driver Fitness BASIC inspection | Y |
Controlled Substances/Alcohol BASIC inspection | Y |
Vehicle Maintenance BASIC inspection | Y |
Total number of BASIC violations | 0 |
Number of Unsafe Driving BASIC violations | 0 |
Number of Hours-of-Service Compliance BASIC violations | 0 |
Number of Driver Fitness BASIC violations | 0 |
Number of Controlled Substances/Alcohol BASIC violations | 0 |
Number of Vehicle Maintenance BASIC violations | 0 |
Number of Hazardous Materials Compliance BASIC violations | 0 |
Branch | Contract Id | Procurement Type | Begin Date | End Date | Amount | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Executive | 2000002135 | Memorandum of Agreement | 2020-07-01 | 2021-06-30 | 6041646 | |||||||||
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Executive | 1900003119 | Memorandum of Agreement | 2018-12-01 | 2020-06-30 | 540000 | |||||||||
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Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
---|---|---|---|---|---|---|---|
Executive | 2025-02-26 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 80 |
Executive | 2025-02-17 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 1750 |
Executive | 2025-01-24 | 2025 | Justice & Public Safety Cabinet | Justice - Office Of The Secretary | Fin Assist/Non-State Agencies | Grants-In-Aid Federal | 19178.04 |
Executive | 2025-01-13 | 2025 | Health & Family Services Cabinet | Department For Medicaid Services | Pro Contract (Inc Per Serv) | Other Professional Services-1099 Rept | 3600 |
Executive | 2025-01-09 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 620 |
Judicial | 2025-01-08 | 2025 | - | Judicial Department | Miscellaneous Services | Serv N/Othwise Class-1099 Rept | 5477.19 |
Executive | 2025-01-06 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 830 |
Executive | 2024-12-11 | 2025 | Education and Labor Cabinet | Department For Workforce Investment | Fin Assist/Non-State Emp | Rehab-Client Serv Cst-1099 Rpt | 750 |
Judicial | 2024-12-10 | 2025 | - | Judicial Department | Miscellaneous Services | Serv N/Othwise Class-1099 Rept | 7151.32 |
Executive | 2024-12-10 | 2025 | Health & Family Services Cabinet | Department For Medicaid Services | Pro Contract (Inc Per Serv) | Other Professional Services-1099 Rept | 2040 |
Sources: Kentucky Secretary of State